Provider Demographics
NPI:1538372511
Name:BUSH, FRANCIS W (OPTICIAN)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:W
Last Name:BUSH
Suffix:
Gender:
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10200 COPPERMINE ROAD
Mailing Address - Street 2:SUITE #102 WOODSBORO MEDICAL CENTER
Mailing Address - City:WOODSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21798-0006
Mailing Address - Country:US
Mailing Address - Phone:301-898-7055
Mailing Address - Fax:301-845-4372
Practice Address - Street 1:10200 COPPERMINE ROAD
Practice Address - Street 2:SUITE #102 WOODSBORO MEDICAL CENTER
Practice Address - City:WOODSBORO
Practice Address - State:MD
Practice Address - Zip Code:21798-0006
Practice Address - Country:US
Practice Address - Phone:301-898-7055
Practice Address - Fax:301-845-4372
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDNONE REQUIRED156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0-Y245-BU-55OtherBLUE CROSS BLUE SHIELD
MD0-Y245-BU-55OtherBLUE CROSS BLUE SHIELD